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1995, 07-18 Permit App: 95005354 ACAOL M PERMIT APPLICATION IFROIlter ADDRESS: grip& ( •WNER: .T4trtg LaW,_)V IPIIONE: _ MAILING ADDRES_:_jairr-d_ Gala t -,0 -1,1V -e., (street) 65-7-Ulab-DzeY 95- 53 6 -11 - Lana tLQ, 9.9a_oe,0 et -)4i-6 ( trect) (city/state) (zip) (city/atatc) (zip) 1.1C1114S18.: PA- R Mrine ) PI IONE: I -BOO 0_, Q61 c9040 . _ _•_____ _______LOPUN ITS _LI iv /UNIT. •• tA I - I • 1103 FUF,L. BURNING APP1JANCE >100,000 _ _. ____1_11.2:5_ it" 1102 FUEL BURNING APPLIANCE . pl. <mow • --..--r--- .— >100.000 Ss::: $1,(X) 1104 UNLISTED FUEL BURNING APPLIANCIF, . of <400.000 —,- ------_----. ___ . 305 UNLISTED FUEL BURNING APPLIANCE > 400 01X1 • . _ . . 1106 USED APPLIANCE (Must meet WSEC's min. AI:111;. rating) ...-..$,...c.rixxxi . 1108 BOILER/REI;RIGERATION .. . t - 100M 11111 ... S100 SI2 1107 USED APPLIANCE Must meet WSEC's min. AEU E rating) _ . 1112 110ILER/REFRIGERATION I 1,750M 11111 122151 BM BOILER/REFRIGERATION toi -500M 111.1.1 1110 BOILER/REFRIGERATION 501 —1.000M 11111 1113 GAS LOG, GAS INSERT,AND/OR GAS FIREPLACE - 5S (3) (51 $ 1111 BOILER/REFRIGERATION 1.(x)i- 1,70M irro 1115 DRYER - SI III :()) 1314 RANGE _ - , 1118 GAS PIPING ea. outlel) _ Sls01 SIO • 1116 __FUE_.__I BURNING wivrilt I !EAT' iit _ 1117 MISCELLANEOUS FUEL BURNING APPLIANCE - , _ SIO 1119 DUCT SYSTEMS B20 VENTILATING FANS 1.321. AIR I IANDLER ()OES NOT include duct systems) 1322 AIR IIANDLEII(DOES NOT Mamie duct s-ystenis) 1.123 EVAPORATIVE COOLERS 1124. TYPE I 11001) 1125 TYPE!' 110013 . . . 1126 PAIR CONDNER---------------------------------------- 1127 MR coNurrioNER 1128 AIR CONDMONER 1129 AIR CONDITIONER 1130 AIR CONDITIONER B31. LPG STORAGE TAN 1332 WOOD OR PELLET sTovE/iNsEier _ •• . • NOTE: MINIMUM PERMIT FEE IS $35.00 SIGNATURE ionstr rlfor,ltpr ton 110.1 r4 or <10,000 CIM > 10,000 (TM - SIONS 6 - 15 TONS 16 - 30 TONS 31 - 50 TONS . .. I SO TONS . _ . 1 510 512 - - 515 ----- • TO - ' 55( 510 512 52(1 525 535 SOO _ 510 - 525 - Subtotal _._ . .. . . l'I.US: PROCESSING PEE TOTAL PERMIT PEE DUI! SPOKANE COUNTY DIVISION 01' BUILDINGS WENT 1026 BROADWAY AVENUE • SPOKANE, WA 99260 • (509) 456-3675 S25